Arroyo Vista Nursing Center

In the surveyor’s words

From the most serious findings on record at Arroyo Vista Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF660Jun 3, 2021

  Based on interview and record review, the facility failed to provide a safe discharge for one of two sampled residents (Resident 1), when the facility did not communicate with or properly prepare Resident 1's caregiver for the discharge needs of Resident 1. As a result, Resident 1 was discharged home and did not receive the assistance needed to perform his activities of daily living (routine activities people do, such as feeding, bathing, dressing, and grooming). Resident 1 was found in pain and was taken to the hospital where he was diagnosed with weakness and tachycardia (fast heart rate) related to dehydration (a harmful reduction in the amount of water in the body). Findings: A review of Resident 1's medical record was conducted. […]

• No harm, potential for more than minimal, patternF842Jan 29, 2026

  Based on observation, interview and record review, the facility failed to document nursing care in an accurate, concise manner when:1. Wound treatments were not documented for one of two residents (Resident 36); and,2. Skin observations were documented as being performed for one of two residents (Resident 60) with a condom catheter (a non-invasive device for males that looks like a condom, fits over the penis, and has a tube to drain urine into a collection bag), when no condom catheter was present, when reviewed for documentation.These failures had the potential for Resident 36 and Resident 60's clinical record to be incomplete and inaccurate. Findings:1. […]

• No harm, potential for more than minimal, patternF812Oct 10, 2024

  Based on observation, interview and record review, the facility failed to ensure safe and sanitary conditions were maintained in the kitchen for food storage methods, according to standards of practice and facility policy when: 1. Multiple food items were not dated correctly. 2. The ice machine was observed to have black residue inside the ice bin and the water filter for the ice machine was 45 days past the due date to be changed. These failures had the potential for food contamination, which could result in food borne illnesses for all residents who consume food from the kitchen. The census was 42. Findings: 1. An initial kitchen tour with [NAME] (CK) 1 was conducted on [DATE] at 7:45 A.M. […]

• No harm, potential for more than minimal, patternF880Oct 10, 2024

  Based on observation, interview and record review, the facility failed to implement infection control procedures when: 1. Continuous Positive Airway Pressure (CPAP- a device that delivers oxygen) machine mask and tubing were not stored in a sanitary manner. 2a. Enhanced Barrier Precautions (EBP- infection control procedures to lessen the risk of cross-contamination) were not implemented for three rooms and, 2b. Visitors were not educated regarding the need for hand hygiene. This failure had the potential for the spread of infection to other residents in the facility. Findings: 1. According to the Admission Record, Resident 28 was admitted to the facility on [DATE] with diagnoses that included obstructive sleep apnea (a condition in which breathing is interrupted during sleep). […]

• No harm, potential for more than minimal, patternF883Oct 10, 2024

  Based on interview and record review, the facility failed to offer and/or provide education regarding the benefits and potential side effects of the pneumococcal (a type of bacterial lung infection) vaccine to four of ten residents (Residents 18, 71, 105, and 201) reviewed for immunizations. This failure posed the risk of the residents contracting pneumonia and its associated complications. Findings: 1. According to a review of Resident 18's Admission Record, the resident was over [AGE] years old. During a review of Resident 18's immunization record, there was no indication the resident was offered or received the pneumococcal vaccine. 2. […]